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Request for Proposal

Eligible Entity / Owner:

Wasco Union High School District

Title:

FY15 Wasco Union High School District E-rate Priority 1

(Telecommunications-Mobile/Data Internet Service/Web

Hosting/Email) and Priority 2 (Basic Maintenance) Service Request

Project Description:

Engineer, Supply, Configure, and install Voice and Data services for

Wasco Union High School District- See 470 Number

178360000941071 for Project Details

Project Location:

2100 Seventh Street, Wasco CA 93280

RFP Number:

WUHSD20110926133605

470 Number:

178360000941071

470 Post Date:

11/29/2011

RFP Due Date:

December 29th, 2011 at 3PM (PST)

Billed Entity Number:

143921

Email Address:

[email protected]

Wasco Union High School District (“WUHSD”) seeks proposals in accordance with the terms and conditions posted within. The awarded contract may cover both E-Rate eligible and non-eligible items. If eligible and non-eligible items or services are bid, bidders must break out the non-eligible items and list them as such. Contract award(s) shall be made in accordance with FCC Universal Service Administration Company E-Rate Program Rules. Responses to this Request for Proposal that include a demonstration shall not be considered.

Questions and clarifications MUST be received via email at: [email protected]. Clarifications shall NOT be given to questions posed within 5 business days of due date. Questions and Service Provider Responses received in any other format may NOT be answered or accepted.

For consideration Bidder must submit a Sealed Bid. WUHSD shall not be responsible for the pre-opening of, post-opening of or failure to open, a RFP not properly addressed or identified. Sealed bids shall be delivered to Wasco Union High School District.

MANDATORY JOB WALK: None / Not Required

PREQUALIFICATION: None / Not Required

SEALED BID MARKING: Wasco Union High School District E-rate – FY15 PLACE OF SEALED BID RECEIPT: Wasco Union High School District

2100 Seventh Street Wasco, CA 93280

METHOD OF BID RECEIPT: Personal delivery, courier, or mailed via United States Postal Service to above address. E-mailed Bids shall not be accepted.

Late offers shall not be considered.

Bids must be delivered to Wasco Union High School District. 2100 7th Street Wasco, CA 93280 with the Sealed BID Marking clearly labeled on the outside of all submissions by the 29th of December 2011 at 3PM (PST). Bid opening will follow at 3:45 pm (PST) in the Wasco Union High School, Tiger Den at 1900 7th Street, Wasco, CA 93280.

Note: Wasco Union High School District MUST wait at least 28 days after the posting of the Description of Services Requested and Certification form (Form 470) on USAC's website before executing any contracts, selecting a Service Provider, or signing and submitting the Services Ordered and Certification Form (Form 471).

To perform the work required by this notice, winning Bidder must provide a valid Service Provider Identification Number (SPIN) and be licensed in accordance with all applicable rules and regulations, including California State Law.

All or part of the potential award described within this document may be issued to one or multiple Service Providers. By issuing this RFP, WUHSD is not required to award all services for which pricing is sought.

(2)

All information is provided on the 470, to include applicant type, service locations, addresses, and service NPA/NXXs.

If you have a proposal, or optional packages, please provide details and the eligible applicant shall evaluate all options to select a winner. Pricing specific to the applicant’s requirements must be included for an evaluation to be completed. Please make sure any required Contracts or Statements of Work are authorized and included in your response. All correspondence must be submitted in writing to the email address listed on the Form 470. No phone calls please.

If the applicant has a question on your service offering, terms, and/or pricing, clarification shall be sought.

Priority 1, Telecommunications Services

Service or Function / Quantity and/or Capacity

Telephone Service: Wireless Telephone Service (Cellular / PCS) for 40 lines with options for both voice (including options for a “push to talk” type service) and data services (Blackberry or simular tpype service)

Telephone Service Components: Text Messaging Telephone Service Components: Directory Assistance

Digital Transmission Service: Transport for 100MB Circuit/Loop for Internet Access Telephone Service Components: Inside Wire Maintenance

Priority 1, Internet Access

Service or Function / Quantity and/or Capacity

Internet Access: Dedicated Internet Access for a 100MB Connection, please include all Ethernet/Circuit/Port/Loop charges any required CPE to interface w/ District WAN. Supplier must provide DNS hosting and an online customer portal to manage DNS records. Must be compatible with existing customer Cisco 7206 WAN Router with 3Gig E/FE/E

Internet Access: Wireless Telephone Service (Cellular / PCS) for 40 lines with options for both voice (including options for a “push to talk” type service) and data services (Blackberry or simular tpype service)

Email Service: Hosted Student Email for up to 2100 accounts. Please provide monitoring and account management options for SPAM, Virus, Anti-Pornography Scanner, inappropriate blocked word list features, mobile phone compatibility, calendars, multiple file formats, block attachment type features-attachment content filtering, administration portal with easy email, keyword search and reporting features, unlimited email and phone support, minimum of 7GB of storage per user, and archiving/retention options. Must comply with CIPA and e-Discovery requirements. Webhosting Service: Web Hosting for 1 domain (http://www.wasco.k12.ca.us), 6 sub domain sites (District Office, 2 High Schools, EDTECH, District Archive, &

Library) with up to 100 Teacher Web Pages. Web pages should reflect a custom design and should be part of a base package. Templates are not acceptable. Performance - sufficient bandwidth must be disclosed and maintained to support fast page loads. A minimum of 70 Mbit- per second bandwidth is required. Expectation - the solution must emphasis Student Achievement and Student / Parent / Community Awareness. Options to include Multi-Language, Calendaring, Voice for Text features, unlimited email, phone, and web technical support, onsite photo shoot, training, password protection for teacher web pages, web forms management and other features that facilitate real time interactive e communication such as instant messaging, twitter and chat - there should be mobile versions of all pages. Supplier must provide web page uptime guarantee- all web pages should be user friendly and easy to navigate.

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Priority 2, Internal Connections – Basic Maintenance

Internal Connections are components located at WUHSD’s site that are necessary to transport information to classrooms and to eligible administrative areas or buildings. Internal Connections include connections within, between or among instructional buildings that comprise a school campus, but do not include services that extend beyond the school campus. Components at WUHSD’s site are eligible only if they are an essential element in the transmission of information within the school. The components must be necessary to transport information all the way to individual classrooms. Internal Connections do not include services that extend across a public right of-way beyond the school. Basic maintenance services are defined as follows: “but for the maintenance at issue, the connection would not function and serve its intended purpose with the degree of reliability ordinarily provided in the marketplace to entities receiving such services without E-rate discounts.” Please provide a Basic Maintenance Contract to perform the following tasks on the equipment listed below:

1. Repair and upkeep of eligible hardware 2. Wire and cable maintenance

3. Basic technical support 4. Configuration changes

Bidder’s Basic Maintenance Agreement must contain the Product Location and Make / Model number of the equipment to be covered by the proposed Basic Maintenance Contract (note the table below). This table (or a similar table with like data) must be included in with the Bidder’s Basic Maintenance Agreement:

Location Deployed Product / Service to be Covered Make/Model Number

Note: The above worksheet is available for downloaded – please visit: http://www.adsadsi.com/rfp_fy15.htm.

Term: Provide options for 3 year contract.

Maintenance Logs are required to be kept by the service provider and sent to applicant (please include a sample log). Please note: The following products and services are NOT eligible:

1. On-site technical support (i.e., contractor duty station at the applicant site) when off-site technical support can provide basic maintenance on an as-needed basis. 2. Services such as network management and 24-hour network monitoring.

3. Help desks that provide a comprehensive level of support beyond basic maintenance of only eligible components. 4. Technical support contracts that are more than basic maintenance.

5. End User Equipment (PCs and Phones).

Eligible basic maintenance does not include services to maintain ineligible equipment, to enhance the utility of equipment beyond the transport of information, or to provide diagnostic services in excess of those necessary to maintain the equipment’s ability to transport information.

Items Required: Cisco-Authorized Basic Maintenance for all listed Cisco Network Equipment

A block of hours for general Basic Maintenance on Network Equipment –16 hours per month requested Minimum 2 hour Response Time

Winning Bidder must maintain Cisco Gold Level Certification, as this implies a baseline of knowledge 3Com-Authorized Basic Maintenance for Phone System

A block of hours for general Basic Maintenance on Phone System –8 hours per month requested Minimum 2 hour Response Time

Winning Bidder must maintain 3Com Certification, as this implies a baseline of knowledge

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In the FCC's

Sixth Report and Order

(

FCC 10-175

), the FCC included the following information on unbundled warranties and Basic Maintenance

of Internal Connections (BMIC):

We find that an unbundled warranty is an ineligible BMIC service because it is purchased as a type of retainer and not as an actual

maintenance service. That is, BMIC contracts that require an upfront payment and that payment is required regardless of whether any

service is actually performed are not eligible.

...if applicants are able to estimate a certain number of hours per year for maintenance, based on the current life of their equipment and a

history of needed repairs and upkeep, they may seek E-rate funds for upfront costs on service contracts designed to cover this estimate of

repairs and upkeep. Reimbursements will be paid on the actual work performed and hours used only. For example, if a school determines

it will need 30 service hours in a given year to maintain its internal connections but uses only 20 hours, the school will be reimbursed only

for 20 hours even if they were approved for E-rate funds on 30 hours.

The

Sixth Report and Order

deems unbundled warranties ineligible for support beginning with FY2011. Applicants cannot simply cost-allocate out

the ineligible portion because the Commission's rules do not allow applicants to receive support for services in a basic maintenance contract that

contains both eligible and ineligible services. See paragraph 24 of the

Third Report and Order

, CC Docket No. 02-6,

FCC 03-323

(2003).

Software downloads, bug fixes, and access to a technical assistance center may be eligible.

Bundled warranties may be eligible for E-rate discounts.

For additional information on the changes to the eligibility of basic maintenance contracts and other changes to the E-rate program for

FY2011, you can refer to the following documents:

Sixth Report and Order

(

FCC 10-175

)

Order

DA 10-2355

, clarifying the eligibility of basic maintenance and the new E-rate gift rules adopted in the Sixth Report and Order

Public Notice

DA 10-2356

, providing further guidance to E-rate participants, listing effective dates of the proposals adopted in the Sixth

Report and Order, and answering Frequently Asked Questions (FAQs).

Third Report and Order

(

FCC 03-323

)

(5)

Sample of Network Equipment for which Basic Maintenance is Requested:

Part Name

Description

Quantity

N2K-C2248TP-1GE

N2K GE, 2PS, 1 Fan Module, 48x100/1000-T+4x10GE (req SFP+)

1

CAB-9K12A-NA

Power Cord, 125VAC 13A NEMA 5-15 Plug, North America

2

SFP-H10GB-CU5M

10GBASE-CU SFP+ Cable 5 Meter

4

N5K-C5010P-BF

N5000 1RU Chassis no PS 2 Fan Modules 20 ports (req SFP+)

1

N5010-ACC-KIT

Nexus 5010 Accessory Kit, Option

1

N5K-P1-BLNK

Nexus 5010 PSU module, Blank slot cover

1

CAB-N5K6A-NA

Power Cord, 200/240V 6A North America

1

DS-SFP-FC4G-SW

4 Gbps Fibre Channel-SW SFP, LC

8

N5000FMS1K9

Nexus 5000 Fabric Manager Server License

1

N5010-SSK9

Nexus 5010 Storage Protocols Services License

1

N5K-M1008

N5000 1000 Series Module 8xFC 4/2/1 G (req SFP)

1

N5K-PAC-550W

Nexus 5010 PSU module, 100-240VAC 550W

1

N5KUK9-413N1.1

Nexus 5000 Base OS Software Rel 4.1(3)N1(1)

1

SFP-10G-SR

10GBASE-SR SFP Module

4

WS-C3750X-24P-S

Catalyst 3750X 24 Port PoE IP Base

2

C3KX-PWR-715WAC

Catalyst 3K-X 715W AC Power Supply

2

CAB-SPWR-30CM

Catalyst 3750X Stack Power Cable 30 CM

2

CAB-STACK-50CM

Cisco StackWise 50CM Stacking Cable

2

S375XVK9T-12253SE

CAT 3750X IOS UNIVERSAL WITH WEB BASE DEV MGR

2

CAB-3KX-AC

AC Power Cord for Catalyst 3K-X (North America)

2

WS-C3750X-48PF-S

Catalyst 3750X 48 Port Full PoE IP Base

25

C3KX-PWR-1100WAC

Catalyst 3K-X 1100W AC Power Supply

25

CAB-SPWR-30CM

Catalyst 3750X Stack Power Cable 30 CM

25

CAB-STACK-50CM

Cisco StackWise 50CM Stacking Cable

25

S375XVK9T-12253SE

CAT 3750X IOS UNIVERSAL WITH WEB BASE DEV MGR

25

CAB-3KX-AC

AC Power Cord for Catalyst 3K-X (North America)

25

WS-C3750X-48PF-S

Catalyst 3750X 48 Port Full PoE IP Base

1

C3KX-PWR-1100WAC

Catalyst 3K-X 1100W AC Power Supply

1

CAB-SPWR-30CM

Catalyst 3750X Stack Power Cable 30 CM

1

CAB-STACK-50CM

Cisco StackWise 50CM Stacking Cable

1

S375XVK9T-12253SE

CAT 3750X IOS UNIVERSAL WITH WEB BASE DEV MGR

1

CAB-3KX-AC

AC Power Cord for Catalyst 3K-X (North America)

1

WS-C3560E-12D-E

Catalyst 3560E 12 Ten GE (X2) ports, IPS software

1

C3K-FAN-16CFM

Fan Module for the Catalyst 3560E-12D

4

C3K-PWR-300WAC

Catalyst 3560E-12D and 3560E-12SD 300WAC power supply

2

(6)

CAB-16AWG-AC

AC Power cord, 16AWG

2

GLC-SX-MM=

GE SFP, LC connector SX transceiver

2

X2-10GB-LR=

10GBASE-LR X2 Module

2

WS-C6506-E

Catalyst 6500 Enhanced 6-slot chassis,12RU,no PS,no Fan Tray

1

BF-S720-64MB-RP

Bootflash for SUP720-64MB-RP

1

MEM-C6K-CPTFL1GB

Catalyst 6500 Compact Flash Memory 1GB

1

VS-F6K-MSFC3

Catalyst 6500 Multilayer Switch Feature Card (MSFC) III

1

VS-F6K-PFC3C

Catalyst 6500 Sup 720-10G Policy Feature Card 3C

1

VS-S720-10G

Catalyst 6500 Supervisor 720 with 2 10GbE ports

1

WS-F6700-DFC3C

Catalyst 6500 Dist Fwd Card for WS-X67xx modules

2

WS-X6716-10GE

Catalyst 6500 16 port 10 Gigabit Ethernet Base Module

2

CAB-AC-C6K-TWLK

Power Cord, 250Vac 16A, twist lock NEMA L6-20 plug, US

2

CF-ADAPTER-SP

SP adapter for SUP720 and SUP720-10G

1

MEM-C6K-CPTFL1GB

Catalyst 6500 Compact Flash Memory 1GB

1

SV33AIK9-12233SXH

Cisco CAT6000-VSS720 IOS ADVANCED IP SERVICES SSH

1

VS-S720-10G-3C

Cat 6500 Supervisor 720 with 2 ports 10GbE and MSFC3 PFC3C

1

WS-C6506-E-FAN

Catalyst 6506-E Chassis Fan Tray

1

WS-CAC-3000W

Catalyst 6500 3000W AC power supply

2

WS-X6548-GE-45AF

Cat6500 48-port PoE 802.3af & ePoE 10/100/1000 CEF256 card

1

WS-X6716-10G-3C

Catalyst 6500 16 port 10 Gigabit Ethernet w/ DFC3C (req X2)

2

AIR-CT5508-100-K9

Cisco 5508 Series Wireless Controller for up to 100 APs

1

LIC-CT5508-100

100 AP Base license

1

LIC-CT5508-BASE

Base Software License

1

AIR-PWR-CORD-NA

AIR Line Cord North America

1

GLC-T=

1000BASE-T SFP

2

SWC5500K9-60

Cisco Unified Wireless Controller SW Release 6.0

1

AIR-LAP1142N-A-K9

802.11a/g/n Fixed Unified AP; Int Ant; A Reg Domain

91

AIR-AP-BRACKET-1

1040/1140/1260/3500 Low Profile Mounting Bracket (Default)

91

AIR-AP-T-RAIL-R

Ceiling Grid Clip for Aironet APs - Recessed Mount (Default)

91

S114RK9W-12421JA

Cisco 1140 Series IOS WIRELESS LAN LWAPP RECOVERY

91

AIR-LAP1252AG-A-K9

802.11a/g/n-d2.0 2.4/5-GHz Mod Unified AP; 6 RP-TNC; FCC

5

AIR-ANT2440NV-R=

2.4 GHz 4 dBi 802.11n Omni wall mount antenna

5

AIR-ANT5140NV-R=

5 GHz 4 dBi 802.11n Omni wall mount antenna

5

AIR-CAB020LL-R

20 ft LOW LOSS CABLE ASSEMBLY W/RP-TNC CONNECTORS

30

AIR-PWR-CORD-NA

AIR Line Cord North America

5

AIR-PWRINJ4

Power Injector - AP1140/1250/1260/3500 Series

5

S125RK9W-12410JA

Cisco 1250 Series IOS WIRELESS LAN LWAPP RECOVERY

5

7206VXR/NPE-G2

7206VXR with NPE-G2 includes 3GigE/FE/E Ports and IP SW

1

(7)

NPE-G2

7200 series NPE-G2 engine with 3 GE/FE/E ports

1

S72PIPB-12415T

Cisco 7200 NPE G2 IOS IP BASE W/O CRYPTO

1

CAB-AC

AC Power Cord (North America), C13, NEMA 5-15P, 2.1m

2

MEM-NPE-G2-1GB

7200 Series NPE-G2 1GB Memory

1

PA-A6-T3

1Port Enh ATM DS3 Port Adapter

1

PWR-7200

Cisco 7200 AC Power Supply Option

1

PWR-7200/2

Cisco 7200 Redundant AC Power Supply Option (280W)

1

SFP-GE-S

1000BASE-SX SFP (DOM)

2

SFP-10G-LR=

10GBASE-LR SFP Module

1

WS-C3750X-48PF-S

Catalyst 3750X 48 Port Full PoE IP Base

1

C3KX-PWR-1100WAC

Catalyst 3K-X 1100W AC Power Supply

1

CAB-SPWR-30CM

Catalyst 3750X Stack Power Cable 30 CM

1

CAB-STACK-50CM

Cisco StackWise 50CM Stacking Cable

1

S375XVK9T-12253SE

CAT 3750X IOS UNIVERSAL WITH WEB BASE DEV MGR

1

CAB-3KX-AC

AC Power Cord for Catalyst 3K-X (North America)

1

SFP-10G-LR=

10GBASE-LR SFP Module

1

WS-C3750X-48PF-S

Catalyst 3750X 48 Port Full PoE IP Base

1

C3KX-PWR-1100WAC

Catalyst 3K-X 1100W AC Power Supply

1

CAB-SPWR-30CM

Catalyst 3750X Stack Power Cable 30 CM

1

CAB-STACK-50CM

Cisco StackWise 50CM Stacking Cable

1

S375XVK9T-12253SE

CAT 3750X IOS UNIVERSAL WITH WEB BASE DEV MGR

1

CAB-3KX-AC

AC Power Cord for Catalyst 3K-X (North America)

1

WS-C3750X-48PF-S

Catalyst 3750X 48 Port Full PoE IP Base

1

C3KX-PWR-1100WAC

Catalyst 3K-X 1100W AC Power Supply

1

CAB-SPWR-30CM

Catalyst 3750X Stack Power Cable 30 CM

1

CAB-STACK-50CM

Cisco StackWise 50CM Stacking Cable

1

S375XVK9T-12253SE

CAT 3750X IOS UNIVERSAL WITH WEB BASE DEV MGR

1

CAB-3KX-AC

AC Power Cord for Catalyst 3K-X (North America)

1

SFP-10G-SR=

10GBASE-SR SFP Module (36)

36

SFP-10G-LR=

10GBASE-LR SFP Module (5)

5

X2-10GB-SR=

10GBASE-SR SFP Module (40)

40

(8)

Sample of Phone System equipment for which Basic Maintenance is Requested:

Part Name

Description

Quantity

3C10114C

NBX ANALOG LINE CARD BLUE CPNT

8

3C10604A-US

US V3000 GATEWAY CHASSIS-1PW CPNT

4

3C10114C

NBX ANALOG LINE CARD BLUE CPNT

4

3C10602A-US

V3001 REDUNDANT POWER SYSTEM CPNT

2

3C10208A

NBX V3001R DISK FRU CPNT

2

3C10326

SS3 NBX V5000 VOICE MAIL UPG CPNT

2

3C10327

UPG SS3 NBX V5000 CP125DEVICE CPNT

2

3C10328

NBX IP VIRTUAL TIE LINE N+2PORTCPNT

9

3CS-EXP5N-V20

EXPRESS NBD 8X5 SVCS

2

Note: Bidder must complete and submit the List of Equipment for which Basic Maintenance is being offered (note the sample table on

page 2). This table is available for downloaded – please visit: http://www.adsadsi.com/rfp_fy15.htm.

(9)

Service Provider Instructions

Service Provider RFP Response Cover Sheet:

Service Provider must complete the Service Provider Authorized Response on page 10 and include it as the first page of the Service Provider response. Bids submitted without a Service Provider Authorized Response Cover Sheet may not be evaluated.

In addition to the Service Provider Authorized Response, please include all relevant documentation to include, but not limited to: Scope of Work, Authorized Master Service Agreement, Detail Line Item Pricing, Taxes, Surcharges, and/or Maintenance Service Agreement, etc.

A proposed agreement or contract for Priority 2 Basic Maintenance must specifically identify the eligible components covered, including product name, model number, and location.

Service Provider Evaluation:

Factor Value (1-5) Weight Score

Price of the ELIGIBLE goods and Services 30% 0.00

Prior Experience 20% 0.00

Personnel and Management Qualifications and Capability 20% 0.00

Other Cost Factors (Ineligible Goods and Services) 20% 0.00

Local Vendor 10% 0.00

Total 100% 0.00

Service Provider RFP Response:

Item 21s, by location or entity number, must be included with the Service Provider response. All Service Provider responses without Item 21 attachments shall be considered incomplete and NOT considered. A sample and interactive worksheet is attached on the next page. Make and Model Numbers must be included on the Item 21 Attachments for Eligible Products and Services. Eligible Products and Services must be clearly separated from any and all Ineligible Products and Services.

Bids must be delivered to Wasco Union High School District. 2100 7th Street Wasco, CA 93280 with the Sealed BID Marking clearly labeled on the outside of all submissions by the 28th of February 2011 at 3PM (PST).

By submitting a response, Service Provider Agrees to all Terms and Conditions contained within. If Service Provider’s response is selected, Wasco Union High School District shall award WUHSD201101319115657 to Service Provider and authorize this cover page - creating a contract. If required, an authorized and dated Service Provider Contract is encouraged to be submitted with the Service Provider’s response. All signatures MUST be original.

Service Provider Terms, Conditions and/or additional Contracts:

In order to be considered for award any and all terms, conditions and, or contracts required by the Service Provider must be signed, dated and submitted with the RFP Response.

All Priority 2 Basic Maintenance agreements or contracts must specifically identify the eligible components covered, including product name, model number, and location.

Invoicing the Universal Services Administrative Company (USAC):

The Service Provider will be responsible for invoicing USAC by using the Service Provider Invoice (SPI) methodology. Wasco Union High School District shall be responsible for their share.

Contracts:

FCC rules require that an applicant sign a contract with the service provider before signing and submitting a completed Services Ordered and Certification Form (Form 471). Consequently, all Contracts, Statements, of Work, and/or Service Agreements must be submitted with this response with a handwritten signature and date. Countersigned documents may be provided after the Funding Commitment Decision Letters are issued by the Schools and Libraries Division of the Universal Services Administrative Company.

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Wasco Union High School District

Item 21 for 470

Location:

Category of Service: [ ] Internal Connections [ X ] Basic Maintenance of Internal Connections

Eligible Recurring Cost

Eligible Non-Recurring Cost Ineligible Recurring Cost Ineligible Non-Recurring Cost

Basic Maintenance for Product #1

Basic Maintenance for Product #2

$ - $ - $ - $ - $ -

Narative:

Totals:

Additional Information:

Quantity Product Description (please include Make and Model when appropriate)

Unit Cost Extended Eligible Pre-discount Cost Extended Ineligible Pre-discount Cost

(11)

Service Provider Authorized Response

This form must be completed and returned with RFP response.

Form 470 Number: 178360000941071

Project Description: Engineer, Supply, and Install Voice and Data Services for Wasco Union High School District

RFP Number: WUHSD20110926133605

RFP Due Date: December 29th, 2011 at 3PM (PST)

Term: July 1, 2011 thru June 30, 2012

Service Provider Name: Service Provider Address:

Service Provider City, State and Zip: Service Provider Contact Name: Service Provider Contact Phone Number: Service Provider Contact FAX Number: Service Provider Contact Email Address: State Tax Number(s):

Federal Tax Identification Number: Service Provider SPIN:

By submitting an authorized response, Service Provider Agrees to all Terms and Conditions contained within. If additional Terms, Conditions or contracts are required please submit a signed copy within the RFP Response. If Service Provider’s response is selected, Wasco Union High School District shall award

WUHSD201101319115657 to Service Provider and authorize this cover page - creating a contract. If required, an authorized and dated Service Provider Contract is encouraged to be submitted with the Service Provider’s response. All signatures MUST be original.

Basic Maintenance Pricing, via ITEM 21s by location, must be included with the Bidder responses. All Service Provider responses without Item 21 attachments shall be considered incomplete and may NOT considered. Make and Model Numbers must be included on the Item 21 Attachments and all agreements. Eligible Products and Services must be clearly separated from any and all Ineligible Products and Services.

All invoices must cross reference the Bidder provided Inventory Documentation.

The Schools and Libraries Program of the Universal Service Fund, commonly known as "E-Rate," is administered by the Universal Service Administrative Company (USAC) under the direction of the Federal Communications Commission (FCC). To qualify as a Service Provider, your organization must be able to produce a valid SPIN (Service Provider Identification Number). If your organization does not currently have a valid SPIN and wishes to submit a response to this RFP, please visit: http://www.universalservice.org/sl/providers/step01/ and obtain a SPIN prior to submitting a bid for consideration.

Service Provider Authorized Signature (Original) Date of Service Provider Signature Please do not submit with an electronic signature

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